Background: There are multiple variants of the anomalies of the vas deferens which may not be recognized, resulting in increased chances of intra-operative injury and subsequent complications.

Case series: We have 3 cases with unique anomalies of the vas deferens; the first case was Crossed testicular ectopia with union right vas deferens with the left vas deferens. The second case has absent distal part of the right vas deferens. The third case has absent proximal 2 cm of the vas deferens.

Conclusion: Different anomalies of the vas deferens can be discovered accidentally during routine inguinal surgical procedures. Awareness of the surgeon about these anomalies can reduce intra-operative injury to the vas deferens and subsequent complication.

We present a versatile craft design of an ambulatory wound treatment system, easy to build with low cost manufacturing and non dependent energy, to promote and facilitate the prompt wound closure and patient rehabilitation.

Prominent ears are the most common congenital cause of atrial deformity. This benign condition can be treated by surgery. There are many techniques described to treat and deform the cartilage to complacency to achieve the desired shape. In this article we describe the surgical technique of cribiform otoplasty to treat these alterations of ear deformity. Cribiform otoplasty is a useful alternative technique, simple and easy to replicate to treat cartilage without damaging it, only weakening it and generating smooth contours and more natural results when treating prominent ears.

Background: Cerebral infarction is a potentially fatal pathological entity, which has been associated with numerous risk factors, such as family history of stroke, hypertension, dyslipidemia, diabetes mellitus, smoking and trauma. On the contrary, the role of prothrombotic gene polymorphisms as risk factors of stroke has not been yet fully established.

Case presentation: A 24-year old man with a thrombophilic profile sustained a left sided Middle Cerebral Artery (MCA) infarction. He was intubated due to his rapid clinical aggravation and underwent initially a left sided hemicraniectomy and soon after that a right sided hemicraniectomy without any significant response. He died due to severe sepsis in the ICU (Intensive Care Unit) the eleventh day after his admission. The laboratory exams showed that he was homozygote for the point mutation A1298C of the methylenetetrahydrofolate reductase (MTHFR) gene, and heterozygote for the 4G/5G polymorphism of the Plasminogen Activator Inhibitor-1 (PAI-1) gene.

Conclusions: Both mutations may have an association with the development of a stroke. Thus genetic testing could possibly assist physicians in prognosis and treatment strategizing of patients with stroke.

Undoubtedly, the main function of the hand is to perform a palmar and pincer grasp. This capacity may be impaired in diverse conditions, specifically, when there is a hand contracture in adduction or in severe cases of decreased first interdigital space. Many techniques are available in order to free the first interdigital space; options include skin grafts, local flaps and free flaps. We describe the use of the bilateral “manta ray flap”, in order to free the space simultaneously in both hands. As described by Coombs and Thomas, this flaps confer the advantages of utilizing the skin in the first interdigital space as well as the skin from the lateral areas of the adjacent fingers in order to cover completely the defect, in addition to provide a coetaneous coverage with adequately vascularized, sensitive and tension-free skin. Furthermore, no skin grafts or free flaps, with its poor aesthetic outcome and associated morbidity were required.

Seminoma in undescended testis may present as an inguinal lump. We present a case of a 32 year old gentleman who presented with a tender right inguinal lump diagnosed to be as Seminoma in an undescended testis. Serological and imaging studies were done for staging. PET-CT scan showed metastasis to retroperitoneal lymph nodes. High radicle orchidectomy with retroperitoneal lymph node dissection was done followed by radiotherapy and chemotherapy.